A nurse is counting a client's apical pulse rate. Identify where the nurse should place the stethoscope to auscultate the apical pulse. (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
The Correct Answer is "{\"xRanges\":[80.828125,100.828125],\"yRanges\":[129,149]}"
To auscultate the apical pulse, the nurse should place the stethoscope at the fifth intercostal space at the midclavicular line on the left side of the chest. This is the location of the apex of the heart, also referred to as the point of maximal impulse (PMI).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Bradycardia: Atenolol can slow the heart rate as it reduces the workload of the heart. Bradycardia (a heart rate below 60 beats per minute) is a potential adverse effect and should be monitored.
B. Dry Cough: A dry cough is a common side effect of ACE inhibitors, not beta-blockers like atenolol. This statement is incorrect.
C. Migraine Headache: Atenolol is sometimes used to prevent migraines, not cause them. Therefore, migraines are not an expected adverse effect of atenolol. This statement is incorrect.
D. Insomnia or Hyperactivity: Atenolol can cause fatigue or lethargy, but insomnia or hyperactivity is not a typical side effect. This statement is incorrect.
Correct Answer is B
Explanation
A. Atrial gallop: An atrial gallop is associated with the S4 heart sound, which occurs before the S1 sound due to the atrial contraction.
B. Ventricular gallop: An S3 heart sound is known as a ventricular gallop and is often a sign of heart failure or fluid overload. It occurs during early diastole when the ventricle fills rapidly.
C. Closing of semilunar valves: The closing of the semilunar valves (aortic and pulmonary) produces the S2 heart sound, not the S3 sound.
D. Closing of the atrioventricular valves: The closing of the atrioventricular valves (mitral and tricuspid) produces the S1 heart sound, not the S3 sound.
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